Simple repair of face or neck wound, 2.6 to 5 cm

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM

Payers reporting CPT 12013

Payer pricing summary

Low

$83

Average

$709

Median

$384

High

$7.5k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +6 other terms	6	$252	$211	$94	45%	112–130	$77 – $322
2	UnitedHealthcare fee schedule · outpatient · +42 other terms	566	$239	$606	$1.2k	200%	22–76	$1 – $17.9k
3	Molina fee schedule · outpatient · +33 other terms	208	$209	$232	$173	75%	19–190	$1 – $1.6k
4	Kaiser fee schedule · outpatient · +26 other terms	105	$273	$389	$586	150%	9–90	$23 – $4.3k
5	Humana fee schedule · outpatient · +32 other terms	386	$203	$315	$715	227%	8–80	$1 – $12.8k
6	Anthem fee schedule · outpatient · +32 other terms	146	$209	$356	$664	187%	7–70	$23 – $6.3k
7	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	481	$278	$723	$1.6k	218%	6–60	$0 – $16.4k
8	Aetna fee schedule · outpatient · +40 other terms	546	$224	$1.0k	$3.0k	292%	3–30	$1 – $33.6k
9	Caresource fee schedule · outpatient · +20 other terms	66	$307	$357	$440	123%	3–30	$1 – $4.3k
10	Cigna fee schedule · outpatient · +37 other terms	261	$214	$749	$1.7k	222%	1–10	$1 – $11.1k
11	WellCare fee schedule · outpatient · +25 other terms	181	$212	$270	$449	167%	1–10	$52 – $4.3k
12	Regence professional · fee schedule · outpatient · +20 other terms	43	$85	$134	$97	72%	1–10	$21 – $372
13	First Health fee schedule · outpatient · +22 other terms	35	$212	$351	$245	70%	1–10	$64 – $1.2k
14	Oscar case rate · outpatient · +23 other terms	129	$2.5k	$2.6k	$805	31%	—	$311 – $7.5k
15	MultiPlan fee schedule · outpatient · +23 other terms	109	$417	$435	$287	66%	—	$1 – $1.3k
16	Devoted facility · fee schedule · outpatient · +17 other terms	98	$190	$389	$876	225%	—	$47 – $4.9k
17	Ambetter facility · fee schedule · outpatient · +21 other terms	97	$342	$641	$1.3k	206%	—	$58 – $8.1k
18	Tricare facility · fee schedule · outpatient · +23 other terms	90	$202	$655	$1.5k	225%	—	$44 – $6.1k
19	Optum fee schedule · outpatient · +28 other terms	73	$182	$243	$197	81%	—	$52 – $959
20	Highmark facility · fee schedule · outpatient · +20 other terms	65	$254	$290	$218	75%	—	$50 – $900
21	Medica fee schedule · both · +25 other terms	52	$115	$120	$46	38%	—	$22 – $224
22	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	48	$116	$264	$1.0k	380%	—	$48 – $9.5k
23	Wellmark fee schedule · both · +24 other terms	44	$126	$108	$25	23%	—	$52 – $198
24	Medicare facility · fee schedule · outpatient · +20 other terms	42	$208	$841	$2.7k	317%	—	$52 – $22k
25	Aetna Better Health fee schedule · outpatient · +22 other terms	40	$174	$198	$142	72%	—	$46 – $720

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